DOUBLE FEMORAL OSTEOTOMY FOR THE TREATMENT OF SEVERE SEQUELAE OF THE IMMATURE HIP

Author:

PONTES MARIANA DEMÉTRIO DE SOUSA1ORCID,BORTOLIN PAULO HENRIQUE1ORCID,VOLPON JOSÉ BATISTA1ORCID

Affiliation:

1. Universidade de São Paulo, Brazil

Abstract

ABSTRACT Objective: To evaluate the results of double femoral osteotomy for the treatment of severe sequelae of the hip. Methods: Immature patients with anatomical loss of the hip were treated with pelvic support osteotomy in the distal femur to correct lower limb shortening, they were evaluated clinically and radiographically. Results: Eleven cases (eleven hips) were assessed with verage follow-up of three years. The mean age of the patients was 14.7 years. Seven patients had sequela of infectious arthritis; three had sequela of developmental dysplasia of the hip and one patient had a sequela of slipped capital femoral epiphysis. Preoperatively, the gluteus medius was insufficient in all patients, and it became negative in ten of them. The average of lower limb shortening was 5 cm (2.5 to 7 cm) and reduced shortening was 1.9 cm (0 to 4 cm). According to Paley Classification, 72.7% of complications were considered problems, 90.9% were considered obstacles and 27.2% complications, among which the limitation of the knee flexion was the most frequent. Conclusion: The technique yielded good results, considering the severity of the sequela and the absence of a better therapeutic option. No important sequela was associated with the treatment. Level of Evidence IV, Case series.

Publisher

FapUNIFESP (SciELO)

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference13 articles.

1. Pelvic support osteotomy and limb reconstruction for septic destruction of the hip;Samchukov ML;Operat Tech Orthop,2013

2. The pelvic support osteotomy: indications and preoperative planning;Pafilas D;Strategies Trauma Limb Reconstr,2008

3. The Schanz subtrochanteric osteotomy for irreducible dislocations of the hip;Gaenslen FJ;J Bone Joint Surg,1935

4. The "Pelvic support" osteotomy: 1941;Milch H;Clin Orthop Relat Res,1989

5. Pelvic support osteotomy: salvage procedure in chronically dislocated hips case report: technical note on the on-lay bone positioning of a lengthening nail and review of the literature;Reynders-Frederix P;Open Orthop J,2016

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